Individual
KRIS JEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC-MH
Contact information
Practice address
520 KANSAS CITY ST LOWR LEVEL, RAPID CITY, SD 57701-5005
(605) 299-9100
Mailing address
109 SPRINGER DR, BOX ELDER, SD 57719-9620
(605) 430-4214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC20247
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH30526
SD
Other
Enumeration date
11/28/2018
Last updated
02/20/2021
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